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[Laparoscopic cholecystectomy: the first 50 patients].
1Department of General Surgery, Cathay General Hospital, Taipei, Taiwan, R.O.C.
Journal of the Formosan Medical Association = Taiwan Yi Zhi
|September 1, 1991
Summary
Laparoscopic cholecystectomy (LC) is a safe and effective treatment for gallstones in Taiwan. This study evaluated its applicability, with 51% of patients undergoing LC, demonstrating its feasibility in the region.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Biliary Tract Surgery
Context:
- Laparoscopic cholecystectomy (LC) adoption is growing globally.
- Limited data exists on LC's application in Taiwan.
- Evaluating LC for cholelithiasis in a Taiwanese hospital is crucial.
Purpose:
- To assess the applicability, safety, and efficacy of LC for cholelithiasis in Taiwan.
- To identify reasons for excluding patients from LC.
- To report outcomes of LC procedures.
Summary:
- LC was performed in 50 of 98 cholelithiasis cases (51% applicability).
- Exclusion criteria included acute/gangrenous cholecystitis, common bile duct stones, and malignancy.
- All 50 LC procedures were successful without conversion, with an average operative time of 60 minutes.
Impact:
- Demonstrates LC's feasibility and safety in a Taiwanese population.
- Provides data for wider adoption of LC in the region.
- Highlights patient selection criteria for successful LC outcomes.